Provider Demographics
NPI:1932690815
Name:GRACECARE SOLUTIONS
Entity Type:Organization
Organization Name:GRACECARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KILBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-331-4196
Mailing Address - Street 1:14603 SEA ISLAND WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-9402
Mailing Address - Country:US
Mailing Address - Phone:661-331-4196
Mailing Address - Fax:
Practice Address - Street 1:14603 SEA ISLAND WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-9402
Practice Address - Country:US
Practice Address - Phone:661-331-4196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA-154700010253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care